| NPI | 1417113119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 14561) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036120809) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2017-05-05 |