| NPI | 1598907925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T9330) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT SSN/ITIN deleted) |
| 208C00000X Colon & Rectal Surgery (Licence: GA 073405) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2025-07-11 |