| NPI | 1831185149 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME60423) | 
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: FL ME60423) | 
| Enumeration Date | 2005-09-22 | 
| Last Update Date | 2009-03-26 |