| NPI | 1114999489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G73993) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA G73993) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-04-21 |