| NPI | 1366465841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G127680) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OK 22673) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-10-29 |