| NPI | 1285139022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V7099) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 96518) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX V7099) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-07-22 |