| NPI | 1174992184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 019051) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 019051) |
| 208800000X Urology (Licence: NY 019051) | |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2019-09-03 |