| NPI | 1639231749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD00040098) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OR MD24549) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-04-09 |