| NPI | 1629450846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A146263) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: CA A146263) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2025-08-07 |