| NPI | 1508356718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 73584) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 390200000X) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-07-17 |