NPI | 1619400736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101278895) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101278895) |
Enumeration Date | 2017-04-05 |
Last Update Date | 2024-10-03 |