| NPI | 1023443587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A172962) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME130203) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2021-07-28 |