| NPI | 1629336474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX V2894) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 21891) |
| 208600000X Surgery (Licence: IL 036165388) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2024-12-03 |