| NPI | 1922005164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: MA 157798) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD08385) |
| 208600000X Surgery (Licence: MA 157798) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2025-07-09 |