| NPI | 1154357895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD049020L) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0047429) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-12-13 |