| 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 |