NPI | 1043539836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IL 036.161754) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 262804) |
208C00000X Colon & Rectal Surgery (Licence: GA 83360) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10038035) | |
Enumeration Date | 2010-05-19 |
Last Update Date | 2023-02-20 |