| NPI | 1497092944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101264841) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: WA ML60754888) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2022-04-05 |