| NPI | 1407417801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 61471) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045645) |
| 208600000X Surgery (Licence: IN 01094168A) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-04-02 |