| NPI | 1093974974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 79022) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: RI MD15118) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2025-04-09 |