| NPI | 1063774370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.142996) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.142996) |
| 208600000X Surgery (Licence: PA MT201465) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-12-27 |