| NPI | 1821016254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX m7384) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MO 108669) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-04-14 |