| NPI | 1831487164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 60208) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 60208) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114551) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-01-21 |