| NPI | 1801410758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10074890) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2020014729) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2021-08-16 |