| NPI | 1386956035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D83721) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2010020917) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2022-07-21 |