| NPI | 1114424595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A200458) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101289030) |
| 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101289030) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2026-09-11 |