| NPI | 1427310192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MD09639000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 287470-1) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 287470-1) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-08-30 |