| NPI | 1376534149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D0068477) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0068477) |
| 174400000X Specialist (Licence: VA 0101221383) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-05-30 |