| NPI | 1043356843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101252601) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101252601) |
| 208800000X Urology (Licence: MD 000000) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-04-12 |