| NPI | 1598157588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 20A18097) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS15364) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 20A18097) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA 20A18097) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-09-09 |