| NPI | 1538133038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 47855) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036121817) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-05-11 |