| NPI | 1548722812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 13828901-1205) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: UT 13828901-1205) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-06-29 |