| NPI | 1841416500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: HI MD-14775) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 50135) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-05-26 |