| NPI | 1720391451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: VA 0101278251) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A127401) |
| 208600000X Surgery (Licence: VA 0101278251) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX S1062) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2023-08-28 |