NPI | 1578682944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 86952) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087755) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087755) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2022-04-26 |