| NPI | 1366442048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX L8648) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L8648) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2009-03-18 |