| NPI | 1972816320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CT 50802) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 276597) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-08-28 |