| NPI | 1861627234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.098512) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD450713) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.098512) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2016-07-01 |