| NPI | 1124318522 |
|---|---|
| Former Name | ISABELLE TCHOUGEN CHUMFONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 306233) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 66148) |
| 208600000X Surgery (Licence: CA A123313) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2021-12-01 |