| NPI | 1760613574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A112835) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08620200) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-09-30 |