| NPI | 1164733507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35.128287) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35128287) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2016-09-27 |