| NPI | 1063857225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TN 62289) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 52387) |
| 208C00000X Colon & Rectal Surgery (Licence: KY 52387) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-03-22 |