NPI | 1205397163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MT231286) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 390200000X) |
207X00000X Orthopaedic Surgery (Licence: NJ 25MA11465700) | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-08-20 |