| NPI | 1083848097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C7-0004230) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.127650) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-03-14 |