NPI | 1215314687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0066156) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 244202) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2023-03-08 |