| NPI | 1558592766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD479024) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2015-0937) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2022-09-09 |