| NPI | 1154731628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 67393) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 139608) |
| 208600000X Surgery (Licence: NY 313703-01) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-01-30 |