| NPI | 1548267032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NE 26798) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA 35946) |
| 208600000X Surgery (Licence: AK 8070) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-01-02 |