| NPI | 1871911545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM DO2021-0049) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM R02-2014) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2022-01-04 |