| NPI | 1770563975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 46790) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MN 46790) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-18 |