| NPI | 1629230156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301092562) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092562) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME115518) | |
| 208C00000X Colon & Rectal Surgery (Licence: OR MD166048) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-11-23 |