| NPI | 1821583618 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX U3836) | 
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018022088) | 
| Enumeration Date | 2018-06-25 | 
| Last Update Date | 2024-09-04 |