| NPI | 1952095432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT231863) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351051247) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-06-22 |