| NPI | 1962261180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.083584) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-05-13 |