| NPI | 1598147969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD484271) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT209673) |
| 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA11202200) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-05-15 |