| NPI | 1386600914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 181153) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 181153) |
| 208200000X Plastic Surgery (Licence: NY 181153) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2014-01-06 |