| NPI | 1376004424 |
|---|---|
| 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: PA MD478807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT217723) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-09-26 |