| NPI | 1558585513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-37382) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 52600-20) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-05-23 |