NPI | 1407112741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA 19446) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0102203516) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-11 |
Last Update Date | 2024-10-29 |