| NPI | 1659520898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 331523) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 065914) |
| 208600000X Surgery (Licence: TN 56595) | |
| 208600000X Surgery (Licence: MI 4301100225) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-09-06 |