| NPI | 1013178300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 53752) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 53752) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-04-28 |