NPI | 1669762209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MN 61407) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: MN TP109384) | |
Enumeration Date | 2011-04-17 |
Last Update Date | 2017-01-31 |