| NPI | 1053565804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-01505) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NC 2014-01505) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-12-18 |