| NPI | 1942861497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008605) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2019019477) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-07-01 |