NPI | 1902291081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D95320) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036.157317) |
208C00000X Colon & Rectal Surgery (Licence: DC MD046098) | |
Enumeration Date | 2015-04-05 |
Last Update Date | 2024-04-05 |