NPI | 1053818724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D94692) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MT233932) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-10 |
Last Update Date | 2025-07-03 |