| NPI | 1922636133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: HI MDR-8563) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: CA PTL5307) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-06-26 |