| NPI | 1902253339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T8550) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10056085) |
| 208000000X Pediatrics (Licence: TX T8550) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-04-19 |