| NPI | 1982990065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME127435) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011016860) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME127435) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-06-03 |