| NPI | 1295115616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 21788) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2015018569) |
| 208600000X Surgery (Licence: CA A168086) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-08-09 |