| NPI | 1346564044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 266175) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 266175) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2020-09-11 |