| NPI | 1598024242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NE 27770) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 27770) |
| 208600000X Surgery (Licence: CA A171513) | |
| 208D00000X General Practice (Licence: NE 27770) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-09-05 |