NPI | 1740818772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA PTL4780) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: CA 4780) | |
Enumeration Date | 2020-03-27 |
Last Update Date | 2021-01-20 |