| NPI | 1356604755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 01088681A) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.128467) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IN 01088681A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 184984) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-12-05 |