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 |