NPI | 1215298872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 304743) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 82828) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2020-08-04 |