| NPI | 1558624247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2018-01350) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: WI 67485) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2025-08-21 |