| NPI | 1386764785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: RI MD12703) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD429123) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-01-29 |