| NPI | 1649474925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD489936) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 284176) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-09-25 |