NPI | 1205220530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0063670) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0053430) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-06-15 |