| NPI | 1962931535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213965) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT213965) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-04-26 |