NPI | 1205248531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2025-02854) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 138058) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2025-09-19 |