| NPI | 1639212020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 229028) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 230849) |
| 208C00000X Colon & Rectal Surgery (Licence: MA 230849) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-06-03 |