| NPI | 1174011332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OR MD222002) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD222002) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-05-19 |