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 |