| NPI | 1457311441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 39161) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 39161) |
| 208C00000X Colon & Rectal Surgery (Licence: WI 39161) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2017-11-29 |