| NPI | 1710390513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A161692) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A161692) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205763) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-12-29 |