| NPI | 1619177870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 54684-020) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MD D0067119) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-12-04 |