| NPI | 1063831550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 64931) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 64931) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-01-07 |