NPI | 1174899389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD472252) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 65268) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2024-05-15 |