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 |