| NPI | 1790041085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX R6971) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 61965) |
| 208600000X Surgery (Licence: TX R6971) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2023-09-18 |