| NPI | 1245596758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME141740) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD460823) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NV 21256) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2022-09-06 |