| NPI | 1568655843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35-093850) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 240511) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2024-03-11 |