| NPI | 1043741986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 322640) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 322640) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-03-26 |