| NPI | 1083034318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA MD480228) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0089116) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101272607) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-09-29 |