| NPI | 1609139690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA11201200) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.136979) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA11201200) | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2024-04-26 |