| NPI | 1952768343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2016-01109) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301116166) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2021-10-26 |