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 |