| NPI | 1457525230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P1453) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 122296) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX P1453) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-08-27 |