| NPI | 1144481409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NC 2016-00654) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MD.208045) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA md.208045) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2019-02-07 |