NPI | 1881121093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D0094106) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301111892) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-06-07 |