| NPI | 1922310481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME163718) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2018002735) |
| 208C00000X Colon & Rectal Surgery (Licence: MO 2018002735) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-09-18 |