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 |