| NPI | 1083678338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 242075) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 242075) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-07-05 |