NPI | 1700371580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 320656) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 275961) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2024-07-10 |