| NPI | 1588925408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME169256) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MD-21365) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-07-25 |