| NPI | 1639313315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME 119341) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 13061) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2014-10-11 |