| NPI | 1992718050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME166881) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P4864) |
| 208C00000X Colon & Rectal Surgery (Licence: TX P4864) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-05-01 |