| NPI | 1538466040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 835698) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS14726) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2021-12-03 |