NPI | 1215189535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD60577176) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60577176) |
208C00000X Colon & Rectal Surgery (Licence: DC MD038383) | |
Enumeration Date | 2008-10-17 |
Last Update Date | 2022-12-06 |