| NPI | 1831367903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A103988) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY A103988) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 234563) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2014-06-07 |