| NPI | 1053593780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 131127) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301105271) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-07-21 |