| NPI | 1710149927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 240484-01) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 60--240484) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2025-03-19 |