| NPI | 1891058509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 89675) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10043015) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-09-08 |