| NPI | 1962639690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: RI MD15908) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD45611) |
| 208600000X Surgery (Licence: MA 240456) | |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2020-01-29 |