| NPI | 1184253452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT220283) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-07-27 |