| NPI | 1508050394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD462511) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: VA 0101238428) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2020-10-05 |