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 |