| NPI | 1336244532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: SC 32228) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 32228) |
| 208600000X Surgery (Licence: SC TL32228) | |
| 208600000X Surgery (Licence: NY 241065-1) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-10-02 |