| NPI | 1972037448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 208600000X) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-06-05 |