| NPI | 1639304132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: ME MD25933) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 290326) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-07-25 |