| NPI | 1922254002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D87665) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MD D0087665) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2026-01-28 |