| NPI | 1912098641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WA MD60540308) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60540308) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2024-04-18 |