NPI | 1679816961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME151245) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: FL ME151245) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2022-06-16 |