| NPI | 1215283015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME160025) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME160025) |
| 208600000X Surgery (Licence: PA MD468014) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2023-08-18 |