| NPI | 1063263846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: WA 208600000X) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-06-20 |