| NPI | 1891920823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: ME MD25776) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35 124034) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: ME MD25776) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.124034) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-07-18 |