| NPI | 1710331566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 82164) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 65745) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-07-31 |