| NPI | 1205094737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2008-01443) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086X0206X Surgery, Surgical Oncology (Licence: NC 2008-01443) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2008-08-12 |