| NPI | 1144457375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A166381) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME 126670) |
| 208C00000X Colon & Rectal Surgery (Licence: FL ME126670) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME126670) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021363) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-05-18 |