| NPI | 1306846324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 306263) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 306263) |
| 208600000X Surgery (Licence: CA G78151) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G78151) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2020-10-20 |