| 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 |