NPI | 1154942944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: NY 208600000) |
Enumeration Date | 2020-05-03 |
Last Update Date | 2021-05-27 |