| NPI | 1669714895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036.164960) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01083940A) |
| 208600000X Surgery (Licence: OH 34.013190) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-10-27 |