| NPI | 1902260839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD61688221) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD61688221) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-08-22 |