| NPI | 1477848703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD60832688) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL L3784R) |
| 208600000X Surgery (Licence: CA A131243) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-08-07 |