| NPI | 1861473597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: NY NY193327) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY NY193327) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-02-28 |