| NPI | 1194955930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A163294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P6787) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-02-25 |