| NPI | 1346404902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: DC MD210002850) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: FL ME148704) |
| 208C00000X Colon & Rectal Surgery (Licence: MD D0084106) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-02-08 |