| NPI | 1972066702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: OH 34.017032) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 279283) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-07-06 |