| NPI | 1396191284 |
|---|---|
| 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: NY 305052) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-08-25 |