| NPI | 1164765632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61168862) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM MD2018-0306) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD61168862) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2021-11-08 |