| NPI | 1699410340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R79452) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-05-08 |