| NPI | 1720616402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0067517) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL000----) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-08-15 |