| NPI | 1689866493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301089750) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301089750) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2016-07-25 |