NPI | 1902291891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101278032) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2023-09-21 |