| NPI | 1639342678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NM MD2013-0865) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 80924) |
| 208600000X Surgery (Licence: CA a103391) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2023-06-01 |