| NPI | 1124342613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 305777) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OH 35.134169) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-01-24 |