NPI | 1356637110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME140373) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT200122) |
2086S0129X Surgery, Vascular Surgery (Licence: FL ME140373) | |
208C00000X Colon & Rectal Surgery (Licence: FL ME140373) | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2020-11-02 |