| NPI | 1972720241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: HI MD20241) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD442112) |
| 208600000X Surgery (Licence: CT 052326) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CT 052326) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2019-04-24 |