NPI | 1780716472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 104318) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A85790) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2021-12-15 |