| NPI | 1922065754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 52238) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA07818300) |
| 2086X0206X Surgery, Surgical Oncology (Licence: WI 52238) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-09-11 |