| NPI | 1528220225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MB09558200) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS18166) |
| 208600000X Surgery (Licence: NJ 25MB09558200) | |
| 208C00000X Colon & Rectal Surgery (Licence: FL OS18166) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-09-20 |