| NPI | 1184899874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A109752) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA AH19180185639) |
| 208600000X Surgery (Licence: MA 258365) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-08-28 |