NPI | 1982047635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A136212) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA A136212) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2023-03-07 |