| NPI | 1598792590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD60956390) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60956390) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2019-07-01 |