| NPI | 1497701320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 250368) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 250368) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NY 250368) | |
| 2086X0206X Surgery Surgical Oncology (Licence: NY 250368) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-11-04 |