| NPI | 1801181383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: LA 207912) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: LA MD.207912) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-11-02 |