| NPI | 1629489323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 35746) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: IL 036.146626) | |
| 208D00000X General Practice (Licence: IL 036.146626) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-06-10 |