| NPI | 1518369313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2022-1148) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 140246) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2023-07-11 |