| NPI | 1770863268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 74279) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A153731) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2020-12-03 |