| NPI | 1811075047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH LT4274) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NH 21971) |
| 208C00000X Colon & Rectal Surgery (Licence: ME 014665) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-10-14 |