| NPI | 1992149116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT220434) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A1333436) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2020-05-20 |