| NPI | 1730768201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 100131) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 100131) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2025-03-27 |