| NPI | 1184948739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 80205) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: ID M-15272) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2021-04-13 |