| NPI | 1841491313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME112828) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX N0223) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-03-29 |