| NPI | 1699706598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD073364L) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA07237800) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-02-18 |