| NPI | 1225245947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA08251700) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: FL ME95880) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-06-17 |