| NPI | 1902068281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CT 77328) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT190874) |
| 208600000X Surgery (Licence: CT 77328) | |
| 208600000X Surgery (Licence: TX Q5002) | |
| 208C00000X Colon & Rectal Surgery (Licence: NY 288458) | |
| 208C00000X Colon & Rectal Surgery (Licence: TX Q5002) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-06-04 |