| NPI | 1265693501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VT 042.0013530) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CT 54009) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148794) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2016-10-26 |