| NPI | 1316479157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 073012) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 73012) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-02-05 |