| NPI | 1750897013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME174061) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10072806) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2025-08-05 |