| NPI | 1275814527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD462414) |
| Additional Taxonomies | 208600000X Surgery (Licence: ME MD26984) |
| 208C00000X Colon & Rectal Surgery (Licence: PA MD462414) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2023-08-07 |