| NPI | 1831218981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 45977) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NV 12859) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-08-05 |