| NPI | 1639306509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008850) |
| Additional Taxonomies | 208600000X Surgery (Licence: HI MDR-5741) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-10-30 |