| NPI | 1861579898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101248220) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 224443) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-09-04 |