| NPI | 1083008031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 317522) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63624) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-07-30 |