NPI | 1164433512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2006020969) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2006020969) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2024-06-12 |