| NPI | 1407271521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MD22106) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC MTL001781) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-02-01 |