| NPI | 1588814198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD60162853) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60162853) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2021-08-17 |