| NPI | 1831698711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 319933) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: NY 319933) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-08-03 |