| NPI | 1336269018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 49678) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 49678) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-05-22 |