| NPI | 1215979620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 254384) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CT 045403) |
| 208C00000X Colon & Rectal Surgery (Licence: FL ME93492) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-03-23 |