NPI | 1700983343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2014008945) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX K8545) |
208600000X Surgery (Licence: IA 40886) | |
208600000X Surgery (Licence: MO 2014008946) | |
Enumeration Date | 2006-09-17 |
Last Update Date | 2017-02-07 |