| NPI | 1760441430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX J2864)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: TX j2864)  | 
| Enumeration Date | 2006-03-21 | 
| Last Update Date | 2022-10-11 |