NPI | 1760748784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME145105) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 297014) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-03 |
Last Update Date | 2022-01-04 |