| NPI | 1235284068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 274747) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 229077) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2026-08-21 |