| NPI | 1821452350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T6079) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX T6079) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-09-22 |