| NPI | 1083617021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0044563) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MD D0044563) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-10-24 |