| NPI | 1720723166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10080833) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10080833) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-05-24 |