| NPI | 1962693887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 267602) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 267602) |
| 208C00000X Colon & Rectal Surgery (Licence: FL OS16564) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-04-21 |