| NPI | 1295239473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 333393) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 73768) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-02-25 |