| NPI | 1205216579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 28979) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN21705) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MS 28979) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX U5702) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-09-15 |