| NPI | 1376707729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 62650) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A99907) |
| 208600000X Surgery (Licence: WI 62650) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-07-30 |