| NPI | 1225061807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME99064) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: KS 04-24616) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-07-20 |