| NPI | 1710946132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 32603) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 32603) |
| 208C00000X Colon & Rectal Surgery (Licence: WI 32603) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-03-17 |