NPI | 1689093700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA 323417) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D0087535) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-16 |
Last Update Date | 2021-03-26 |