| NPI | 1902033145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CT 82145) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: PA MD453697) |
| 208600000X Surgery (Licence: PA MD453697) | |
| 208600000X Surgery (Licence: CT 82145) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2025-09-11 |