| NPI | 1316105711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA08641600) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 245487) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2015-05-05 |