| NPI | 1043811466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2022-0732) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MDR-8089) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-11-15 |