| NPI | 1669033114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2020013288) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2019019480) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-06-16 |