| NPI | 1588921795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A137953) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A137953) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2020-09-23 |