| NPI | 1932582061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-48980) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2015020394) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2021030326) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-09-01 |