| NPI | 1215084009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CA A112425) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A112425) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-08-24 |