| NPI | 1598014979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX P1208) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 272638) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2020-02-05 |