| NPI | 1245435213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E9331) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.099672) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-04-19 |