| NPI | 1780983411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA 20A11452) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A11452) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2025-06-25 |