| NPI | 1679731251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 84909) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 257588) |
| 2086X0206X Surgery Surgical Oncology (Licence: NY 257588) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-02-05 |