| 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 |