| NPI | 1831223924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 02003638A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 58001917) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2023-09-05 |