| NPI | 1932138609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WV 25845) |
| Additional Taxonomies | 208600000X Surgery (Licence: WV 25845) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-02-27 |