| NPI | 1639388879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N7637) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10016879) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-12-02 |