| NPI | 1760822415 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IA MD-55560)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-55560)  | 
| Enumeration Date | 2013-06-26 | 
| Last Update Date | 2025-09-26 |