| NPI | 1861924326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD 6884D96750) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD R-000-069-758-934) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-08-29 |