| NPI | 1972542249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME136880) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL trn24294) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2018-07-26 |