| NPI | 1013411255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101285237) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 96957) |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 96957) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-07-15 |