| NPI | 1982608386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2001023249) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: KS 0429396) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2022-01-13 |