| 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 | 2025-05-14 |