| NPI | 1669934873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 5101028346) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2026-01-28 |