| NPI | 1023040771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA06656200) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: NJ 25MA06656200) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-07-27 |