| NPI | 1073131066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DC MTL500001772) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0101804) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-07-03 |