NPI | 1023465838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 77910) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.068292) |
208600000X Surgery (Licence: MO 2023019403) | |
Enumeration Date | 2016-05-22 |
Last Update Date | 2024-10-09 |