| NPI | 1184670721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD429100) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 52304) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-02-24 |