| NPI | 1174850952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D85056) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301106001) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2018-08-13 |