| NPI | 1003041757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 278273) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT195472) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195472) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-04-11 |