| NPI | 1699094342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery Pediatric Surgery (Licence: KY 49895) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 165395) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2022-07-21 |