| NPI | 1689060717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A190553) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A190553) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2026-05-18 |