| NPI | 1750603957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OR MD167212) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125051603) |
| 208C00000X Colon & Rectal Surgery (Licence: MN 106905) | |
| 208C00000X Colon & Rectal Surgery (Licence: MN 56908) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-11-10 |