| NPI | 1134482706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA MD.208197) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 82492) |
| 208600000X Surgery (Licence: GA 84806) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: LA MD.208197) | |
| 208600000X Surgery (Licence: LA MD.208197) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-03-10 |