| NPI | 1326351735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 4452) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-8918) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2013-07-02 |