| NPI | 1114145257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A125115) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NE 5443) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-01-03 |