| NPI | 1235759184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD488426) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301514216) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-11-28 |