| NPI | 1992942676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA08831300) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A108986) |
| 208600000X Surgery (Licence: NY 247698) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2018-03-17 |