| NPI | 1558593061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 60690) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 60690) |
| 208600000X Surgery (Licence: GA 064904) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2023-07-12 |