| NPI | 1760725790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A134096) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 134096) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-05-07 |