| NPI | 1871263236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME156488) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 34169) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-05-10 |