NPI | 1528325776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MN 55687) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: MN 106080) | |
Enumeration Date | 2012-04-12 |
Last Update Date | 2013-06-25 |