| NPI | 1831312503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX M7804) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A96137) |
| 208C00000X Colon & Rectal Surgery (Licence: CA A96137) | |
| 208600000X Surgery (Licence: NJ 25MA08926700) | |
| 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA08926700) | |
| 208600000X Surgery (Licence: TX M7804) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-12-19 |