| NPI | 1619438629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301510690) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2019-0414) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-08-14 |