| NPI | 1952503062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OR 155686) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR 155686) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-03-09 |