| NPI | 1285167288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL 37478) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 77615) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-10-21 |