| NPI | 1144679002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301513568) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 326606) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-07-01 |