| NPI | 1952805954 |
|---|---|
| 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: NY 325153) |
| 208600000X Surgery (Licence: CA A175170) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-09-19 |