NPI | 1972009413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036170060) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.147840) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-09-20 |