| NPI | 1104182518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 75843) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 265594-1) |
| 2086X0206X Surgery Surgical Oncology (Licence: NY 265594) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2024-01-23 |