| NPI | 1922005164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 157798) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD08385) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MA 157798) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2022-05-06 |