| NPI | 1801162268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD26022) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10877600) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114586) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-10-17 |