| NPI | 1609922384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: CO 0048881) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-1676) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-07-29 |