| NPI | 1871520742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: UT 9740645-1205) |
| Additional Taxonomies | 208D00000X General Practice (Licence: UT 9740645-1205) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-09-23 |