| NPI | 1164533584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: DC MD11008) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MD M30567) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-09-03 |