| NPI | 1467666289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A116245) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: GA 60648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2021-12-15 |