| NPI | 1528296753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 62416-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 62416-20) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-11-07 |