| NPI | 1841450640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036.132206) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.132206) |
| 208C00000X Colon & Rectal Surgery (Licence: NY 263195) | |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2023-06-30 |