| NPI | 1659438984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A62828) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 62828) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-09-29 |