| NPI | 1700939956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD434270) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD434270) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-10-24 |