| NPI | 1922325760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D89528) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MO TBD) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2024-02-08 |