| NPI | 1740415785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 76808) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 51796020) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX Q9655) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2026-04-14 |