NPI | 1609178136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A132984) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2013-00996) |
208600000X Surgery (Licence: PA MT188328) | |
208C00000X Colon & Rectal Surgery (Licence: NE 26133) | |
Enumeration Date | 2010-12-05 |
Last Update Date | 2020-02-04 |