NPI | 1023066677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA C53924) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35091332) |
208600000X Surgery (Licence: WI 44951) | |
2086S0102X Surgery, Surgical Critical Care (Licence: CA c53924) | |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 35091332) | |
2086S0127X Surgery, Trauma Surgery (Licence: CA C53924) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 44951) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2020-03-20 |