| NPI | 1700374840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: TX U5793) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-08-30 |