| NPI | 1114345741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MA 281960) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 281960) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-03-18 |