| NPI | 1609067743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 201548) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 208C00000X) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-06-21 |