| 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 |