| NPI | 1215168190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 6868) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: AZ 54322) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2017-06-14 |