| NPI | 1871902627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 311934) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125064451) |
| 208600000X Surgery (Licence: IL 125064451) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-11-05 |