| NPI | 1639604614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101267596) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: LA 341690) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2024-06-28 |