| NPI | 1821897141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MT238172) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT238172) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2026-07-10 |