| NPI | 1518100262 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA09875800)  | 
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 253249)  | 
| 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA09875800)  | |
| Enumeration Date | 2009-04-10 | 
| Last Update Date | 2024-05-01 |