| NPI | 1619343811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 009465) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: FL UO4614) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2024-03-12 |