| NPI | 1265787550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN MD58628) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 58628) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2026-02-10 |