NPI | 1669625604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 206908) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 247286) |
208C00000X Colon & Rectal Surgery (Licence: TX N6538) | |
Enumeration Date | 2008-11-03 |
Last Update Date | 2015-09-15 |