| NPI | 1073838835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 265825) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 245141) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2019-03-25 |