| NPI | 1962996488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351053780) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072297) |
| 208600000X Surgery (Licence: IL 036.158360) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5315254725) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-09-22 |