| NPI | 1265011340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A207092) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 38175) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-07-02 |