| NPI | 1265624209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MT 18388) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 20169) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A116220) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2025-04-10 |