| NPI | 1801391727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 337239) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036.169867) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2025-09-05 |