| NPI | 1336169804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KY 57522) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD43226) |
| 208600000X Surgery (Licence: KY 57522) | |
| 208C00000X Colon & Rectal Surgery (Licence: TN 43226) | |
| 208C00000X Colon & Rectal Surgery (Licence: OH 35.146884) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-06-27 |