| NPI | 1407842727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME147205) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD067425L) |
| 208600000X Surgery (Licence: NC 2012-01374) | |
| 208600000X Surgery (Licence: FL ME147205) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2024-09-17 |