| NPI | 1306834775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101263892) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 87591) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA C54525) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2026-08-21 |