| NPI | 1003819632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AL 28077) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: GA 49493) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2007-07-08 |