| NPI | 1376984310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103630) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301103630) |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2014-07-30 |