| NPI | 1114123502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 62572-20) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: WI 62572-20) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-01-28 |