| NPI | 1336692920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 70717) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 70717) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2025-12-17 |