| 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 |