| NPI | 1194955005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD456946) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME 018227) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2022-07-09 |