| NPI | 1326539685 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: ID 6171178)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 1326539685)  | 
| 208600000X Surgery (Licence: ID 6171178)  | |
| 208600000X Surgery (Licence: NV 26640)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NV 26640)  | |
| Enumeration Date | 2018-05-22 | 
| Last Update Date | 2025-10-20 |