| NPI | 1427730027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 72982) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2025-01517) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MN 72982) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-07-21 |