| NPI | 1013941418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OK 25008) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L6005) |
| 208C00000X Colon & Rectal Surgery (Licence: TX L6005) | |
| 208600000X Surgery (Licence: OK 25008) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-08-05 |