| NPI | 1871503102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: TX U5188) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60126645) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-10-18 |