NPI | 1275066375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IA MD-55353) |
Additional Taxonomies | 208600000X Surgery (Licence: IA MD-55353) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2025-09-12 |