| NPI | 1992932156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10071927) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 241461) |
| 207T00000X Neurological Surgery (Licence: NC 2019-00273) | |
| 207T00000X Neurological Surgery (Licence: MA 241461) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2022-05-19 |