| NPI | 1982628327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.144405) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ MA08508200) |
| 208600000X Surgery (Licence: NY 199316) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 199316) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.144405) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2023-08-04 |