| NPI | 1972034387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V1273) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX V1273) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-06-04 |