| NPI | 1609040039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: FL OS12956) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS12956) |
| 208600000X Surgery (Licence: PA OS016131) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2024-04-03 |