NPI | 1679732028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.128785) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OH 128785) |
208C00000X Colon & Rectal Surgery (Licence: OH 35.128785) | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2021-01-12 |