| NPI | 1154686640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX P3584) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10220500) |
| 2086X0206X Surgery Surgical Oncology (Licence: NJ 25MA10220500) | |
| 2086X0206X Surgery Surgical Oncology (Licence: PA MD457617) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2022-09-23 |