| NPI | 1255582896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036.135687) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.097133) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2024-10-03 |