| NPI | 1447370754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 217397) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 2173971) |
| 208D00000X General Practice (Licence: NY 217397-1) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-04-25 |