| NPI | 1497961734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD449526) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: PA MD449526) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-12-21 |