| NPI | 1407641137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL26-0888) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 101517851) |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2026-07-09 |