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 |