| 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 |