| NPI | 1336633783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 79076) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 276789) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2025-05-13 |