| NPI | 1124549282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017022321) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2022-07-27 |