NPI | 1548722812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 345608) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: UT 13828901-1205) |
208600000X Surgery (Licence: UT 13828901-1205) | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2025-08-07 |