| NPI | 1194950295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD60741685) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-8596) |
| 208600000X Surgery (Licence: WA MD60741685) | |
| 208600000X Surgery (Licence: MN 60367) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2025-11-26 |