| NPI | 1154554731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 279901) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A116542) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2023-12-18 |