| NPI | 1003376674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 36219) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101281904) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-01-26 |