| NPI | 1124388160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NH 09806) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD15931) |
| 208600000X Surgery (Licence: NH 19806) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2019-09-03 |