| NPI | 1023002151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 148178) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA 148178) |
| 208600000X Surgery (Licence: MI 4301099492) | |
| 208C00000X Colon & Rectal Surgery (Licence: MI 4301099492) | |
| 208C00000X Colon & Rectal Surgery (Licence: CO 38764) | |
| Enumeration Date | 2005-09-05 |
| Last Update Date | 2021-02-19 |