NPI | 1770805871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 312067) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125-056262) |
Enumeration Date | 2010-02-17 |
Last Update Date | 2019-06-07 |