| NPI | 1750820007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OR MD212636) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 145897) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2024-08-05 |