| NPI | 1932687019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A167435) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: VT 042.0018476) | |
| 208600000X Surgery (Licence: NY 333963) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2026-08-04 |