| 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 |