| NPI | 1093210601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY TP162) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2023-00900) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-08-07 |