NPI | 1063831006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 292366) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63521) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2020-07-22 |