| NPI | 1891299376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4351051190) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R76752) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-07-05 |