NPI | 1730740820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 105636) |
Additional Taxonomies | 208600000X Surgery (Licence: NE 8568) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-28 |
Last Update Date | 2025-08-19 |