| NPI | 1043636269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: VA 0101259570) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101259570) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2024-09-25 |