| NPI | 1891889101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C150190) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OH 35088979) |
| 208C00000X Colon & Rectal Surgery (Licence: CA C150190) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-04-27 |