| 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 |