| NPI | 1063031581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2021023687) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.007784) | |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.007784) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2026-06-04 |