| NPI | 1306050547 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CT 074138)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD430280)  | 
| 208600000X Surgery (Licence: FL ME126283)  | |
| Enumeration Date | 2007-05-09 | 
| Last Update Date | 2023-05-09 |