| NPI | 1952984593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 125.083052) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: IL 036.168179) | |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2024-01-19 |