| NPI | 1295229417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276548) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 344237) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2026-06-18 |