NPI | 1760623318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 5101018375) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101018375) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2023-10-10 |