| NPI | 1124342621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301114342) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301114342) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2020-10-20 |