| NPI | 1295996361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA09715400) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT 185981) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX Q0783) | |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2020-10-05 |