| NPI | 1093056780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A124505) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A124505) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2019-03-06 |