| NPI | 1932541133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MN 62777) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 62777) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2026-08-21 |