| NPI | 1942829577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 30762) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2022-09-02 |