NPI | 1154489730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101237196) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101237196) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2022-01-10 |