| NPI | 1386807782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301092889) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092889) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 206141) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-02-22 |