| NPI | 1982083200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX S5080) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10054444) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-01-11 |