| NPI | 1093192023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0091860) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D91860) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-05-15 |