| NPI | 1871989103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KS 04-46869) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61057094) |
| 208C00000X Colon & Rectal Surgery (Licence: IN 01085973A) | |
| 208C00000X Colon & Rectal Surgery (Licence: MO 2022041373) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-11-14 |