| NPI | 1811029507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 62401-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 245014) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301087754) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 245014) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-04-29 |