| NPI | 1730620154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 011876) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.071350) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2025-07-28 |