| NPI | 1336882679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 16156) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-10-08 |