| NPI | 1538393244 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 21415)  | 
| Additional Taxonomies | 208600000X Surgery (Licence: CA A149257)  | 
| 208600000X Surgery (Licence: CO DR0061462)  | |
| 208600000X Surgery (Licence: NV 21415)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-08 | 
| Last Update Date | 2024-12-05 |