| NPI | 1235667676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 321355) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD H0094172) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-10-04 |