| NPI | 1528381282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 64999) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CT 64999) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2022-09-15 |