| NPI | 1154302172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MI 4301104264) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 177741-1) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2013-12-16 |