| NPI | 1598121717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.142529) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA BH148078) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2021-09-15 |