| NPI | 1548366974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 16645) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 16645) |
| 2086X0206X Surgery, Surgical Oncology (Licence: SC 16645) | |
| 208C00000X Colon & Rectal Surgery (Licence: SC 16645) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |