| NPI | 1740669076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 81972-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 81972-20) |
| 208600000X Surgery (Licence: IA R-10230) | |
| 208600000X Surgery (Licence: NY 316365-01) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2023-09-05 |