| NPI | 1154764421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D0091900) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MA pending) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2021-07-29 |