| NPI | 1083143770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD481784) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213666) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN35597) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-07-25 |