| NPI | 1679951388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA12328100) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT208449) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-10-01 |