| NPI | 1356605125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IA MD-47564) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-47564) |
| 208600000X Surgery (Licence: IL 125061413) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-09-21 |