| NPI | 1407039977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: DC MD038999) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0066494) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2021-06-07 |