| NPI | 1669784344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 82967) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 1669784344) |
| 208600000X Surgery (Licence: MS 30964) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2023-10-20 |