| NPI | 1619296878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 111217) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 307424) |
| 208600000X Surgery (Licence: NY 307424) | |
| 208C00000X Colon & Rectal Surgery (Licence: PA MD466760) | |
| 208600000X Surgery (Licence: PA MD466760) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2026-08-26 |