| NPI | 1689194722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.148864) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 11019537A) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-07-21 |