| NPI | 1285921775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 248783) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2013-06-10 |