| NPI | 1043435548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX V5277) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25ma08421800) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MO 2007008387) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-07-16 |