| NPI | 1427256395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME151925) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 54008) |
| 208C00000X Colon & Rectal Surgery (Licence: MN 54008) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-07-30 |