| NPI | 1417290768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 94169) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 293158) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2024-03-04 |