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 |