NPI | 1427311133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A126862) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A126862) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2021-08-12 |