| NPI | 1841491099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 18258-875) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 255925) |
| 208600000X Surgery (Licence: NY 255925) | |
| 208C00000X Colon & Rectal Surgery (Licence: NY 255925) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-06-11 |