NPI | 1780650986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NM 20050754) |
Additional Taxonomies | 208600000X Surgery (Licence: NM 20050754) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2012-09-06 |