| NPI | 1962815290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35.156314) |
| 208600000X Surgery (Licence: OH 35.156314) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-05-17 |