| NPI | 1093372864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 1677-01) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL82592) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-07-17 |