| NPI | 1902163108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME159803) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 297125) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-02-06 |