| NPI | 1538378922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 34.009849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016806) |
| 208C00000X Colon & Rectal Surgery (Licence: OH 34.009849ctr) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-03-10 |