| NPI | 1952512253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX P7312) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD440174) |
| 208600000X Surgery (Licence: OH 57008465) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2022-07-21 |