| NPI | 1013336106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 62252) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 62252) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-03-17 |