| NPI | 1790121770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A181474) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A181474) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-11-08 |