| NPI | 1740421445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A115949) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 251386) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2021-11-29 |