| NPI | 1467665331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NM MD2019-0058) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX Q9019) |
| 208C00000X Colon & Rectal Surgery (Licence: GA 073145) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-03-29 |