| NPI | 1134196561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 200752) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 200752-1) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-11-25 |