| NPI | 1720549686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 100209) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: CA A179739) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-05-31 |