| NPI | 1497715890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301108801) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OH 350) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2026-01-08 |