| NPI | 1336191808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25ma06938100) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA06938100) |
| 208600000X Surgery (Licence: NJ MAO69381) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-01-28 |