| NPI | 1205397221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OK 9040) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: KS 94-11786) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2025-09-19 |