| NPI | 1598285173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301112945) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301506900) |
| 208600000X Surgery (Licence: MI 4301506900) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |