| NPI | 1205062692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60729370) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OR MD181298) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2021-08-05 |