| NPI | 1124476080 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A142196)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: CA 142196)  | 
| Enumeration Date | 2016-06-01 | 
| Last Update Date | 2022-05-06 |