| NPI | 1912076290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 250983) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 229334) |
| 208600000X Surgery (Licence: MA 250983) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-10-21 |