| NPI | 1033408489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036.145842) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME 127352) |
| 208600000X Surgery (Licence: MO 2011018402) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME127352) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 77655) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-07-21 |