| NPI | 1558536789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101251494) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD038282) |
| 208600000X Surgery (Licence: VA 0101251494) | |
| 208600000X Surgery (Licence: MD D72793) | |
| 208C00000X Colon & Rectal Surgery (Licence: MD D72793) | |
| 208C00000X Colon & Rectal Surgery (Licence: DC MD038282) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-02-02 |