| NPI | 1730479353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 93344) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 299263-1) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2022-11-14 |