| NPI | 1841266624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 207934) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 207934) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-04-04 |