| NPI | 1285915488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A154534) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT199796) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2023-11-27 |