| 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 |