| NPI | 1093174732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS021041) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA FF0001987) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-07-08 |