| NPI | 1447446190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A96821) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2010010721) |
| 208600000X Surgery (Licence: CA A96821) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2024-04-23 |