NPI | 1760543177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35-088654) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35088654) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2022-01-05 |