| NPI | 1417398017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T3576) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX T3576) |
| 208C00000X Colon & Rectal Surgery (Licence: CA A169818) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-04-11 |