| NPI | 1699927962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 56046) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 239021-1) |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2023-07-18 |