| NPI | 1144477100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 61782) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 61782) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT192848) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2023-12-04 |