NPI | 1720240062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX R4840) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036142531) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NV LL1904) | |
Enumeration Date | 2008-06-27 |
Last Update Date | 2020-09-02 |