| NPI | 1902161896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KY TP950) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 252752) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2022-08-18 |