| NPI | 1548556533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD222550) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.128344) |
| 208600000X Surgery (Licence: NC 2017-01206) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2025-02-27 |