| NPI | 1588603435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2004015333) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2004015333) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-06-27 |