| NPI | 1972790178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 0) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A102131) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2024-04-27 |