NPI | 1891145157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 1017328) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL39786) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2024-08-22 |