| NPI | 1932635026 |
|---|---|
| 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: MI AS3104851-3240) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-06-04 |