| NPI | 1205195435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.151833) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD61196887) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2025-02-27 |