| NPI | 1467089045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 5101028674) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-08-07 |