| NPI | 1538329503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA md427347) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08375900) |
| 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA08375900) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-05-25 |