| NPI | 1700327921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A196464) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125070479) |
| 208C00000X Colon & Rectal Surgery (Licence: CA 196464) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2026-04-04 |