| NPI | 1740608462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 61752) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 61752) |
| 208600000X Surgery (Licence: WI 73664) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 61752) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MN 61752) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 73664) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-03-20 |