| NPI | 1760005581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A190469) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-06-28 |