| NPI | 1770787566 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX N4832) | 
| Additional Taxonomies | 208600000X Surgery (Licence: TX N4832) | 
| 208600000X Surgery (Licence: GA 77806) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX N4832) | |
| Enumeration Date | 2007-06-13 | 
| Last Update Date | 2025-08-28 |