| NPI | 1780098236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MH 1024928) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351031360) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ME MD23436) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 1024928) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2026-09-09 |