| NPI | 1427032390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS9337) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 1957) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2011-05-03 |