| NPI | 1184042566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 313950) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 69747) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-01-09 |