| NPI | 1295969574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 278120) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62821) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2024-10-30 |