| NPI | 1558958819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 39633) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK AP17228537) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2022-06-09 |