| NPI | 1700319829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NY 316333) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 316333) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-07-28 |