| NPI | 1598116881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 4847418) |
| Additional Taxonomies | 208600000X Surgery (Licence: PR 4847418) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-07-15 |