| NPI | 1255541561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 102831) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 200776) |
| 208600000X Surgery (Licence: TX P1152) | |
| 208600000X Surgery (Licence: IN 01077922A) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI EMC0003431) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2026-03-25 |