| NPI | 1992946750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IA MD-39168) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA 39168) |
| 208600000X Surgery (Licence: IL 036.114907) | |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2018-06-06 |