| NPI | 1033598354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: D93074) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0093074) |
| 208600000X Surgery (Licence: MD D0093074) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-06-13 |