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 |