NPI | 1568655843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35-093850) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 240511) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2024-03-11 |