| NPI | 1164017307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MA062097) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OA005430) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-06-24 |