| NPI | 1104288729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 65916) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A180371) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 65916) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A180371) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A180371) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MN 65916) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-09-15 |