| NPI | 1811121684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD24297) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60458584) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2024-07-01 |