| NPI | 1689824286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME124147) |
| Additional Taxonomies | 208600000X Surgery (Licence: VT 042-0013625) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME124147) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-05-24 |