| NPI | 1144777442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PR 21751) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 21751) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-07-30 |