| NPI | 1740694157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 312905) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA10815500) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-03-07 |