| NPI | 1609963461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C53125) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: LA 201119) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-06-17 |