| NPI | 1528292802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 56959) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 56959) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2024-08-22 |