| NPI | 1508393455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA GA009066) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 009066) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-07-29 |