| NPI | 1285690669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD447749) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 205331-1) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-11-01 |