NPI | 1316475122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM MD2024-0533) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: CT 71829) | |
Enumeration Date | 2017-05-24 |
Last Update Date | 2024-08-06 |