| NPI | 1356639652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 55429) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MN 55429) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-10-02 |