| NPI | 1992142996 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX T7385)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10046906)  | 
| Enumeration Date | 2013-05-30 | 
| Last Update Date | 2022-11-25 |