| NPI | 1790964567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD452886) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD452886) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2024-11-12 |