| NPI | 1720209216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 260927) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 260112) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2019-01-15 |