| NPI | 1922458223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME163026) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016017321) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-10-29 |