| NPI | 1285053223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 98613) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 298797) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-03-06 |