| NPI | 1265971493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101025099) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 5101025099) |
| 208C00000X Colon & Rectal Surgery (Licence: IL 125079584) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-12-13 |