| NPI | 1417286386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA OP60511036) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 006318) |
| 208600000X Surgery (Licence: CO DR0053484) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OS014746) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2024-03-21 |