| NPI | 1285677922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 250647) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 227808) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA08240300) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-06-06 |