| NPI | 1962636332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 292805) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 292805) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2022-04-13 |