| NPI | 1619327848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-10660) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2023-05-30 |