NPI | 1295940559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 203031) |
Additional Taxonomies | 208600000X Surgery (Licence: AL 25779) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-12-29 |