| NPI | 1093815839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME100230) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301081168) |
| 208C00000X Colon & Rectal Surgery (Licence: MI 4301081168) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-29 |