| NPI | 1346266905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD450582) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD450582) |
| 208600000X Surgery (Licence: OH 35-053419) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-21 |