| NPI | 1770979551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD61553465) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61553465) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2024-09-09 |