| NPI | 1669629689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: PA OS014772) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 263687) |
| 208600000X Surgery (Licence: PA OS014772) | |
| 208600000X Surgery (Licence: PA OT012136) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-07-30 |