| NPI | 1831464858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 007597) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 34.011950) |
| 208600000X Surgery (Licence: AZ 007597) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2021-10-21 |