| NPI | 1295178986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NC 2019-01624) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2019-01624) |
| 208C00000X Colon & Rectal Surgery (Licence: NC 01624) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-10-23 |