| NPI | 1235472192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL MD.37123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 37123) |
| 208600000X Surgery (Licence: NY 281343) | |
| 208600000X Surgery (Licence: TX R1392) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 56598) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-02-20 |