| NPI | 1881035814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A132205) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MD D0075316) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2020-01-15 |