| NPI | 1508165762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME116251) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-12323) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AR E-12323) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2023-10-18 |