NPI | 1861982761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 34.017403) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 34.017403) |
208C00000X Colon & Rectal Surgery (Licence: MI 5101027397) | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2025-03-20 |