| NPI | 1023220316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TN 61228) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX P4580) |
| 208600000X Surgery (Licence: TX P4580) | |
| 208C00000X Colon & Rectal Surgery (Licence: KS 04-42832) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-04-06 |