| NPI | 1639464829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301514312) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 61276) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2025-12-18 |