| NPI | 1134514052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME155679) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MT219765) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-07-14 |