| NPI | 1619261591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME152038) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD464565) |
| 208C00000X Colon & Rectal Surgery (Licence: PA MD464565) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2021-09-17 |