| NPI | 1992066161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: RI MD18095) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 74470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2024-04-30 |