| NPI | 1396185781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA DO-05453) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-9664) |
| 208C00000X Colon & Rectal Surgery (Licence: IA DO-05453) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-08-12 |