| NPI | 1801989439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MS 18187) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS 18187) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-07-10 |