| NPI | 1932635026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA OS024127) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI AS3104851-3240) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2024-11-25 |