| NPI | 1578959771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 66808) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.145586) |
| 208600000X Surgery (Licence: WI 66808) | |
| 208C00000X Colon & Rectal Surgery (Licence: OH 35.145586) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-10-01 |