| NPI | 1326587478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101026948) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA 20A21328) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2024-02-16 |