| NPI | 1093905572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NE 29987) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 57027762) |
| 208600000X Surgery (Licence: MO 2009010829) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-08-03 |