| NPI | 1912385303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A175743) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301107061) |
| 207R00000X Internal Medicine (Licence: MI 4301116942) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-08-15 |