| NPI | 1477997989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0066579) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: CO 66579) | |
| 208600000X Surgery (Licence: CA A161486) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-06-01 |