| NPI | 1760648703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WV 27615) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2016-01415) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX U7410) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2023-11-02 |