| NPI | 1619082336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT 12368) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00046982) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WA MD00046982) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MT 12368) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-11-27 |