NPI | 1528563418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 101116) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 29152) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2024-08-14 |