| NPI | 1770800716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 10970805-1295) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q1826) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2021-01-14 |