| 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 |