| NPI | 1962797308 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01086465A) | 
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301098975) | 
| 208600000X Surgery (Licence: IN 01086465A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TX S9281) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098975) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10065783) | |
| Enumeration Date | 2011-06-14 | 
| Last Update Date | 2021-09-24 |