| NPI | 1952668667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME151795) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 250629) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2025-01-22 |