| NPI | 1649615287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA 171636) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 171636) |
| 208C00000X Colon & Rectal Surgery (Licence: FL ME139661) | |
| 208D00000X General Practice (Licence: NC 204413) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2022-08-19 |