| NPI | 1467612473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME69555) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me69555) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-05-28 |