| NPI | 1164518288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX J6786) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX J6786) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-05-08 |