NPI | 1710331566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: WI 82164) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 65745) |
207T00000X Neurological Surgery (Licence: MN 65745) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2023-07-31 |