NPI | 1962693887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 267602) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 267602) |
208C00000X Colon & Rectal Surgery (Licence: FL OS16564) | |
Enumeration Date | 2007-08-06 |
Last Update Date | 2022-04-21 |