| NPI | 1437477320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 22706) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 94-07351) |
| 208C00000X Colon & Rectal Surgery (Licence: GA 76842) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2022-11-23 |