| NPI | 1700448578 |
|---|---|
| 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: PA OT019628) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-07-09 |