| NPI | 1629606405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 85249-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML61070565) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-07-28 |