| NPI | 1619297876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NC 2023-01730) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2023-01730) |
| 208D00000X General Practice (Licence: HI MD-16653) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2023-08-31 |