| NPI | 1619931003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G76764) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G76764) |
| 208C00000X Colon & Rectal Surgery (Licence: CA G76764) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-07-23 |