| NPI | 1841510534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101251198) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME106660) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2023-03-30 |