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 |