| NPI | 1427039908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 47730) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2009-0509) |
| 208600000X Surgery (Licence: CA A82127) | |
| 208600000X Surgery (Licence: KS 04-56656) | |
| 208600000X Surgery (Licence: AZ 67746) | |
| 208600000X Surgery (Licence: NE 34980) | |
| 208600000X Surgery (Licence: TX T9325) | |
| 208600000X Surgery (Licence: WY 14713C) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MN 51301) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2022-11-03 |