| NPI | 1750371662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME163424) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: SC 28532) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-09-12 |