| NPI | 1770789885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA OP60291008) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 1782) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WA OP60291008) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-01-19 |