| NPI | 1306405741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 100448) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL82794) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-06-11 |