| NPI | 1699462937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61426118) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA OL61426118) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-11-03 |