| NPI | 1568802304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: FL ME166033) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 281339-1) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2025-03-12 |