| NPI | 1871974006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A184376) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10053965) |
| 208600000X Surgery (Licence: GA 89737) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-05-10 |