| NPI | 1699935007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301510543) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME137818) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-01-09 |