| NPI | 1992091755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NV 17221) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT198821) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-05-20 |