| NPI | 1679101901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 336402) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-04-29 |