| NPI | 1184981011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01082542A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125061812) |
| 208600000X Surgery (Licence: TX R2695) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2022-11-30 |