NPI | 1316334436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036.161211) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: PA MD470128) |
208C00000X Colon & Rectal Surgery (Licence: MI 4351047411) | |
Enumeration Date | 2015-04-16 |
Last Update Date | 2022-12-12 |