NPI | 1649774803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351053782) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 125.075408) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2025-07-01 |