| NPI | 1811334915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX S2207) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A132376) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-06-15 |