| NPI | 1326498692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 287497) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 267834) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-07-21 |