| NPI | 1558881409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2017020199) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MO 2019021485) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-08-05 |