NPI | 1346212909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD00041609) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD00041609) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-11-09 |