| NPI | 1316575632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A201024) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A201024) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-08-08 |