| 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 |