| NPI | 1366405102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX U0412) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: PA MD424639) |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036129211) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-12-05 |