| NPI | 1124472543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 294775) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 294775) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 294775) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT210368) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 68564) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-09-19 |