| NPI | 1700114998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD451348) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD451348) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 18307) | |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2022-07-21 |