| NPI | 1144467291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NE 28777) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX P6602) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2016-02-11 |