| NPI | 1518959634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 053247) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 053247) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-10-03 |