| NPI | 1326205592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01072571A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125052331) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2013-08-16 |