| NPI | 1811208788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 54037) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME142972) |
| 207T00000X Neurological Surgery (Licence: MA 276769) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-04-11 |