| NPI | 1629360680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: MA 260324) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2020-09-25 |