| NPI | 1396371399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO4856) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN30152) |
| 208D00000X General Practice (Licence: GA 90032) | |
| 208D00000X General Practice (Licence: VA 0101273242) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2022-05-02 |